Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anisah Gardiner, PA-C

Individual provider Physician Assistant · NPI 1033908280

Anisah Gardiner, PA-C is a Physician Assistant in Fairfield, Ohio. Qualified in 2025, 1 year ago. Practices with Dermatology and Surgery of Southern Ohio, Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1213 Nilles Rd
Fairfield, OH 45014-2911
Phone: (513) 858-6900
Fax: (513) 858-6903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7132 Cincinnati Dayton Rd, Liberty Township, OH 45069-1775 — (513) 858-6900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009433RX (OH)

Record details

NPI number1033908280
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 5, 2025
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Dermatology And Surgery Of Southern Ohio, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfield